Venous invasions in colonic adenocarcinoma: Value of elastic stain

Christophe Attencourt (1) , Charles Sabbagh (2, 1) , Jonathan Meynier (3) , Lucien Grados , Jean-Marc Regimbeau (4, 2) , Denis Chatelain (1, 5)

1 CHU Amiens-Picardie
2 SSPC - Simplification des soins chez les patients complexes - UR UPJV 7518
3 Direction de la recherche clinique et de l'innovation [CHU Amiens]
4 Chirurgie digestive [CHU Amiens]
5 CHIMERE - CHirurgie, IMagerie et REgénération tissulaire de l’extrémité céphalique - Caractérisation morphologique et fonctionnelle - UR UPJV 7516

The aim of our study was to assess the value of Elastic stain in the diagnosis of venous invasion (VI) in colonic adenocarcinoma. Material and methods.- All patients who undergone surgery for colonic adenocarcinoma at the University Hospital of Amiens, between 2004 and 2007, were included. Hematein-phloxinsaffron (HPS) stained slides of colectomy specimens were reviewed by two pathologists. Tumor blocks were stained with Elastic Stain (Roche - Ventane (R)). The presence or absence of VI, their number and localization were correlated with overall survival. Results. - Two hundred and thirty-one cases were investigated and 3274 slides were examined. VI were more often diagnosed by Elastic Stain than HPS stain (66% vs. 40%). Ninety percent of VI were revealed within the first 6 HPS slides, and from the first 5 in Elastic Stain. The presence of VI revealed by Elastic Stain and/or HPS was significantly associated with decreased overall survival in multivariate analysis (P=0.029), especially for stage IIA tumors (P= 0.016). Tumor differentiation (P= 0.006) and pTNM stage (P= 0.001) were also independent prognostic factors. The localization and the number of Vi were not prognostic factors. Conclusion. - Our study confirms the prognostic value of VI, revealed by an elastic stain, in colonic adenocarcinoma. A systematic elastic stain of all tumor blocks (number at least 5) could be considered in the future, during pathological examination of colectomy for adenocarcinoma. (C) 2018 Elsevier Masson SAS. All rights reserved.

Domaines: Sciences du Vivant [q-bio]

Christophe Attencourt, Charles Sabbagh, Jonathan Meynier, Lucien Grados, Jean-Marc Regimbeau, et al.. Venous invasions in colonic adenocarcinoma: Value of elastic stain. Annales de Pathologie, 2018, 38 (6), pp.352-362. ⟨10.1016/j.annpat.2018.02.003⟩. ⟨hal-03596408⟩